A client who has been prescribed chronotherapy for disrupted sleep patterns resulting from his chronic depression tells the nurse that he can't afford to stay in the hospital for the treatments since he has to get back to work. The nurse responds that:

Correct Answer: C

Rationale: Rationale for choice C (correct answer): 1. Chronotherapy involves timed exposure to light and darkness to regulate sleep patterns. 2. The nurse suggests the client can administer the treatments at home once trained, indicating it's feasible. 3. This empowers the client to continue treatment while balancing work obligations. 4. It ensures continuity of care and adherence to the therapy plan. Summary of other choices: A: Incorrect - Chronotherapy requires multiple treatments over several weeks, not just a few days. B: Incorrect - While some employers may provide sick leave, it's not guaranteed and may not cover the entire treatment duration. D: Incorrect - While outpatient alternatives may be discussed, administering at home is more practical for this client's situation.

Correct Answer: A

Rationale: The correct answer is A because steady state refers to the point where drug intake equals drug elimination in the body, leading to a constant drug concentration. This equilibrium is reached after approximately 4-5 half-lives of the medication. Once the body reaches steady state, the drug's effects, including nausea, become more predictable and stable. Choice B is incorrect because blood work cannot determine the exact time it takes for the body to reach steady state. Choice C is incorrect because the number of doses is not a reliable indicator for when steady state is reached, as it depends on the drug's half-life and individual factors. Choice D is incorrect because stating that antidepressants have a relatively short half-life is not universally true, and the time to reach steady state can vary depending on the specific medication and individual factors.

Correct Answer: A

Rationale: The correct answer is A because it addresses the potential underlying cause of noncompliance - the client's sense of lack of control over their depression, which can lead to hopelessness and suicidal ideations. By asking this question, the nurse can assess the client's perception of their depression and empower them to discuss their feelings of helplessness. Choice B focuses on assessing the client's understanding of the risk of suicide but does not directly address the underlying cause of noncompliance. Choice C involves documenting a supportive statement from the client's son, which is not directly related to the client's noncompliance. Choice D involves observing the client's interaction with family members, which may provide valuable information but does not directly address the underlying cause of noncompliance.

Correct Answer: B

Rationale: The correct answer is B: "Have you been having trouble sleeping?" This is the correct question because melatonin is commonly used as a sleep aid. The nurse should inquire about the patient's sleep patterns to assess the effectiveness of melatonin and potential side effects related to sleep. Choices A, C, and D are incorrect as they do not directly relate to the use of melatonin as a sleep aid in older adults with depression. Asking about memory, anxiety, or weight loss is not as relevant in this context.

Correct Answer: A

Rationale: The correct answer is A: Precontemplation: denial of problem; goal is to create awareness of the problem. In motivational interviewing, the first stage is Precontemplation, where the individual is unaware or in denial of the problem. The goal is to help them recognize the issue and increase awareness. Choice B (Contemplation) is incorrect because it comes after Precontemplation and involves recognizing the need to change, not denial. Choice C (Determination) is incorrect as it follows Contemplation and involves planning and committing to action. Choice D (Action) is incorrect as it is the stage where the individual applies the change, which comes after Determination.